Provider Demographics
NPI:1790733095
Name:STELLA COUNSELING SERVICE
Entity Type:Organization
Organization Name:STELLA COUNSELING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:A
Authorized Official - Last Name:OFFORDIRINWA
Authorized Official - Suffix:
Authorized Official - Credentials:MA PLMHP
Authorized Official - Phone:402-304-4263
Mailing Address - Street 1:4727 N 26TH ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-4706
Mailing Address - Country:US
Mailing Address - Phone:402-465-4263
Mailing Address - Fax:402-477-4328
Practice Address - Street 1:4727 N 26TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-4706
Practice Address - Country:US
Practice Address - Phone:402-465-4263
Practice Address - Fax:402-477-4328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE7518101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025231500Medicaid